| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.26 | $104.71 | $120.23 | |
Aetna
| Professional | $40.74 | $52.48 | $77.62 | |
Anthem BCBS
| Professional | $31.62 | $45.71 | $100.00 | |
Cigna
| Facility | $81.28 | $120.23 | $147.91 | |
Cigna
| Professional | $70.79 | $72.44 | $89.13 | |
Medica
| Facility | $53.70 | $107.15 | $295.12 | |
Medica
| Professional | $26.30 | $37.15 | $67.61 | |
United
| Facility | $26.30 | $61.66 | $74.13 | |
United
| Professional | $26.30 | $37.15 | $72.44 |